Provider Demographics
NPI:1700570561
Name:STAHL, MONIKA SOLCIANSKA
Entity Type:Individual
Prefix:
First Name:MONIKA
Middle Name:SOLCIANSKA
Last Name:STAHL
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2091 SW AUGUSTA TRCE
Mailing Address - Street 2:
Mailing Address - City:PALM CITY
Mailing Address - State:FL
Mailing Address - Zip Code:34990-4786
Mailing Address - Country:US
Mailing Address - Phone:772-521-1739
Mailing Address - Fax:
Practice Address - Street 1:650 NW FORK RD
Practice Address - Street 2:
Practice Address - City:STUART
Practice Address - State:FL
Practice Address - Zip Code:34994-8901
Practice Address - Country:US
Practice Address - Phone:772-261-2320
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-06-05
Last Update Date:2023-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPT40014225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist